HomeMy WebLinkAbout1227 E Front St - Building11/15/1013 10:53 FAX 360 451 9 %(jb Angeles EleCtr'iC
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CITY OF PORT ANGELES PERMIT APPLICATION NOV
Building DivisionlElectrtcal Inspections ELEC RIGAt
321 East Fifth Street —P.O. Box 11501 Port Angeles WashingtogjAp'§Aor1 �.
Ph: (360) 4174735 Fax: (360) 417 4711
Date: , L1 & 2 Single Family Dwelling
Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job Address:
Bullding Square Footage:
Description of above _
Owner Inkrinatio
Name:
Mailing Ad s: j7_211'31 4'4 WV
r, S77
Co. State: Ztp:
Phone: Fax:
Phase:
License # I Exp.
Licenses ! Exp.
44-"
Item
Unit Charue
ServicelFeeder 200 Amp.
$120;00
ServicsiFeeder 201400 Amp.
$146.00
Service/Feeder 401-600 Amp
S 205.00
Service/Feeder 601 -1000 Amp,
$ 262.00
ServicelFeader over 1000 Amp.
$ 373.00
Branch Circuit W/ Service Feeder
$ 5.00
Branch Circuit W!0 Service Feeder
$ 63.00
Each Additional Branch Circuit
$ 5,00
Branch Circuits 1-4
$ 75.00
Temp. Service! Feeder 200 Amp,
$ 9100
Temp. ServicelFeeder 201 400 Amp.
$110.00
Temp. ServiceFeader 401.600 Amp.
$149.00
Temp. ServiceiFeeder 601 -1000 Amp .
$168.00
Portal to Portal Hourly
$ 96.00
Signal CircuW Umitad Energy -1 & 2 Family Dwelling
$ 64.00
Manufactured Home Connection
$120.00
Renewable Electrical Energy - 5KVA System or Less
$102.00
Them Wat
$ 56.00
Note: $5.00 for each additional TStat
NEW CONSTRUCTION ONLY:
Contractor Information
Name: _.&fZL _S_A
[VjUUuliuuuI
Mailing Address:
r, S77
City:
ata:,L Zip: C
Phase:
_Fax:
Licenses ! Exp.
9E YAP lt�k-
Total
fQty Muttivilled by _Uplit Ch
$
s
$
$
First 1300,Square Ft. ^ $120.00
Each Additional 600 Square Ft or Portion of $ 40.00
Each Outbullding or Detached Garage $ 74.00 $
Each Swimming Pool or Hot Tub $1102 $
ISotal
Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit' ' finalized. (2) Owner is required
to hire an electrical contractor If above said property is for sale, rent or lease. Permit expires after six months of las inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensedIllectrical contractor. I am making
the electrical installation or alteration in compliance with the electrical laws, N.E.C„ RCW. Chapter 19.28, WAC. Chapter 296 -468, The City of Port
Angeles Municipal Code, and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Appllemons. _
Signature of owner, electrical contractor or electrical administrator: ❑ cao ❑ Check
i
��� oe.ai o�mtrml�
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , . , . ,
13- 00001363
Date 11/26/13
Application pin number
113602
DITCH
Property Address
1227 E FRONT ST
ASSESSOR PARCEL NUMBER;
06- 30- 00 -5 -3
Application type type description
ELECTRICAL ONLY
Subdivision Name , . . . . ,
1Z
Property Use , . . . .
FINAL
Property Zoning . , . , . , ,
COMMERCIAL ARTERIAL
Application valuation . , , .
0
Application desc
200 amp service and ductless
Owner
Contractor
---- - -- - -- ------
- - - - --
------------------------
CHURCH OF CHRIST OF F A
-
ANGELES ELECTRIC
1227 E FRONT ST
524 E. 1ST ST,
FC T ANGELES WA 983624309
PORT ANGELES
WA 98362
(360) 452 -9264
Permit , , , , , , ELECTRICAL
ALTER RESTDENTSAL
Additional desc . ,
Permit Fee . , . . 12.5.00
Plan Check Fee
00
Issue Date 11/26/13
Valuation , .
. . 0
Expiration Date 5/25/14
Qty Unit Charge Per
Extension
1.00 5,0000 ECH EL-
BRANCH CIRCUIT W /FEEDER
5.00
1.00 120,0000 ECH EL -0
-200 SRV FEEDER
120.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 125,00
125.00 00
.04
Plan Check Total. 00
QO .00
Op
Grand Total 125.00
125.00 .00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION TYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
1Z
FINAL
COMMENTS:
_7 7 ! LI
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
G :TCXCHANGEIBUILDING
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